ASGE Annual GI Advanced Practice Provider Course (Virtual) - Day Two | April 2022-Evaluation of the Patient with GERD

Video Transcription

Video Summary

In this video, Sorel Myberg, a nurse practitioner specialist, discusses the evaluation and management of gastroesophageal reflux disease (GERD). He begins by explaining the typical symptoms of GERD, such as heartburn and regurgitation, and the importance of obtaining a detailed patient history. He emphasizes that GERD symptoms can be nonspecific and may overlap with other conditions. He also discusses the prevalence and impact of GERD on patients' quality of life.<br /><br />Myberg then explains the pathogenesis of GERD and the various factors that can contribute to its development, including decreased salivation and esophageal motility disorders. He recommends performing endoscopy in patients with alarm symptoms, such as bleeding or weight loss. He also discusses the Los Angeles classification system for grading esophagitis.<br /><br />Regarding the diagnosis of GERD, Myberg explains the Lyon consensus criteria, which include endoscopic findings, the presence of long segment Barrett's esophagus, and pH monitoring results. He discusses different testing options for GERD, including Bravo pH monitoring and ambulatory pH and impedance monitoring. He highlights the importance of performing esophageal manometry before pH impedance testing.<br /><br />Myberg then discusses lifestyle modifications and medication options for GERD management. He mentions the use of proton pump inhibitors (PPIs) as the mainstay of treatment and provides recommendations for their use. He also mentions the potential side effects of PPIs and highlights the importance of selecting the lowest effective dose for each patient. Surgical options, such as Nissen fundoplication and endoscopic procedures like TIF and LINX, are also discussed.<br /><br />Throughout the video, Myberg engages in a discussion with another speaker, addressing questions and concerns related to GERD evaluation and management. Polling questions are also included to test the viewer's knowledge on GERD management.<br /><br />No credits are mentioned in the video.

Asset Subtitle

Sarel J. Myburgh APRN, CNP, MS

Keywords

GERD

evaluation

management

symptoms

diagnosis

PPIs

surgical options